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Nose implant alternatives in Asian Rhinoplasty?

asked 2 years ago by i want to be pretty in california
Latest answer by Charles S. Lee, MD
Question viewed 2,021 times
Tags: female, silicone implant, alternative, Asian, implant

I am considering an Asian Rhinoplasty. I like the size of my nose (but when I smile, it looks a little wide in pictures), but I want my nose bridge to appear taller. However, I noticed the people who have implants, their noses are narrower than before.

I want to have a natural look, not too tall, and something that is permanent. I heard that silicone nose implants can shift over time or show through the skin. What other alternatives are there? Which one would fit me the best? And whats the recovery time? (My nose looks better in real person)

 

17 answers to Nose implant alternatives in Asian Rhinoplasty?

+1

Alternatives for nasal implants

Use your own tissue to build up the bridge. Cartilage from your septum and your ear will be sufficient to build your bridge without having to resort to rib. There's no more a natural look than using your own tissues.
Charles S. Lee, MD

Los Angeles Plastic Surgeon
+1

Asian bridge implant options

Besides silicone implants other options include using your own cartilage (septum, ear, or rib). Other materials that implants can be made of include gortex and portex. Depending on your goals there are several options. I tend to prefer using patient's own tissue for these types of cases, but with bridge augmentation a synthetic implant can have its place, if you understand the risks. An in person exam woul allow for a better evaluation of your options and a more detailed... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+1

Asian rhinoplasty and nasal implant options

Silicone implants are often used in Asian rhinoplasty and work quite well as long as the implant size is not too large.  This is the typical problem where it is more than obvious an implant has been placed.  Too big of an implant will leave a high bridge and will create the illusion of a high sidewall.  The silastic implants usually do not shift over time unless they are too big and cause pressure necrosis of the skin.  The implants we prefer are the silastic flowers... more
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Nasal surgery, rhinoplasty,nose implants, cartilage, rib grafts

There are many alternatives for enlarging the bridge of the nose. I usually use silicone implant for it involves less trauma to the nose and is tolerated quite well by the patient. However, the things you mention may occur. I have used other alternatives like even a rib graft. I try to discuss various options with my patients and we chose what fits them best. 
Edward J. Domanskis, MD

Orange County Plastic Surgeon
+1

Nasal bridge implant for Asian rhinoplasty patients

Hi ttcl, Thank you for sharing a photograph. Based on the single photograph and your personal goals, a conserviative skin excision to narrow the nostrils might be more appropriate than a nasal implant. Nasal augmentation of the bridge is a common part of rhinoplasty in Asian patients. Augmentation material is typically "plastic" material such as goretex or silicone. While one's own cartilage is generally preferred to augment the bridge, there may be insufficient... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Use your own cartilage

I suggest that you stay away from silicone nasal implants. They frequently shift, get infected, are palpable, and have a high rate of revision. Use your own cartilage or simply try a non surgical approach with Radiesse injections. Good Luck! Dr Grant Stevens
Grant Stevens, MD

Los Angeles Plastic Surgeon
+1

Asian Nasal Augmentation

Silicone implants are frequently used to augment the bridge in Asian rhinoplasty because it is technically easier for the surgeon and the patient's recovery is relatively short. However, complications such as graft movement and post-op infection are more frequent. I prefer to use the patient's own cartilage which will become incorporated into the patient's normal surrounding tissue. 
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Gore-Tex or Your Own Cartillage for Asian Augmentation Rhinoplasty

You are right. Augmenting the bridge gives a more narrow appearance on the front view. A conservative augmentation will minimize this. Consult a rhinoplasty expert who performs computer imaging to get a sense for how this would look on you. Alternatives to silicone include Gore-tex or your own cartilage. Cartilage can be taken from your septum or external ear.  Both are excellent alternatives. In terms of recovery, swelling and bruising is at its worst on day three following... more
Thomas Buonassisi, MD

Vancouver Facial Plastic Surgeon
+1

Cartilage Dorsal Augmentation in Asian Rhinoplasty

In considering a permanent dorsal (bridge) augmentation, only your own cartilage can produce such a long-term result. Implants, regardless of their composition, have risks of infection, migration, shifting and tissue thinning in the long run. While implants offer a quicker and easier first rhinoplasty, the statistics are that it will not be your last rhinoplasty over your long remaining life.  Using your own cartilage is initially more difficult and may require a donor site from the rib... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+1

Diced cartilage graft

You can use your own cartilage to create an elevated bridge. It is a good alternative to silicone implant. In fact only use diced cartilage graphs for nasal dorsal augmentation. Regarding the recovery time; you will have a dorsal splint for about a week, bruising usually 10 -14 days, Sweling will improve over a period of 4 - 6 weeks however will continue to decrease for several months afterward. Return to whorl usually one week and to contact sports after about one month. I hope that was... more
Moneer Jaibaji, MD

San Diego Plastic Surgeon
+1

Asian Rhinoplasty

Nasal Implants come in various sizes including different thickness and widths.  You could choose one that allows your nasal bridge to be more wide and less narrow.  I prefer the solid, silastic straight (no L-shaped component) for these purposes and place these using either a closed or open Rhinoplasty depending on what else is being done to the nose.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Choices for nasal implants.

Preformed silicone implants are used much more than any other material world wide for augmenting the Asian nose.They are usually  the easiest to implant with relatively little trauma.  Therefore, since a certain percentage of any type of rhinoplasty will not be satisfactory, the greatest number of unsatisfactory Asian rhinoplasties will have had a silastic (silicone) implant. . However in my experience, no other material gives a more consistent nice looking... more
Sheldon S. Kabaker, MD

Oakland Facial Plastic Surgeon
+1

Natural alternatives in Asian rhinoplasty

Implants do have trade-offs which can be a bridge which is overly narrow, perhaps artificial in appearance. Implants also share the risk of thinning of skin and possible exposure over time. Natural alternatives are considered the 'permanent' solution and include nasal septum, ear cartilage, and also rib cartilage to lift and shape the bridge of the nose. The choice is often determined by what material is available, and in what amount to lift the bridge or support the tip. The effort... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Nasal Implants

Hi, Silicone implants will only shift and show through the skin if they are placed incorrectly. I like to use a custom carved silicone implant which is placed a precise pocket in the sub-SMAS layer of the the nose. The implant is also sutured into place for added stability. Other implants that can be used are Gortex and/or cartilage grafts but I think silicone is the best option for bridge augmentation. You can see many such implants on my website below. Best, Dr.S. more
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Building up the bridge in Asian Rhinoplasty

  Thanks for the question about alternatives to silicone implants for building up the bridge in Asian rhinoplasty. My preference in these cases is to use your own cartilage, usually taken from the septum, or in some cases, the ears. I prefer to use cartilage from the septum as it avoids having to take cartilage from another area, so the decision would be based on the amount of cartilage needed to reach your aesthetic goals. In either case, cartilage can be safely taken without any... more
Umang Mehta, MD

Bay Area Facial Plastic Surgeon
+1

Nose implant alternatives in Asian Rhinoplasty?

There are a number of alternatives for nasal implant. These include cartilage which most often are not enough of it in Asian patients unless using the ear cartilages which will eventually become uneven and warp. Other implants are Gortex, Portex and cartilage obtained from cadaver. Silicone is by far is best if it is done by surgeon who is very experienced in Asian rhinoplasty and is placed deep to the tip cartilages. This is not usually done by those who use these implants correctly causing... more
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

Nose implant alternatives in Asian Rhinoplasty?

For Asian noses I prefer autologous grafts (patients own cartilage),which I can harvest from the nasal septum ,ears and lastly the rib. Other alternatives  which I do not usually use, are homografts such as cadavre treated cartilage ,dermal matrix etc,. Other alloplastic grafts  ,down the list, are Porex and and PTFE (Goretex) which can be alternatives to the Silicone rubber. The recovery time from the surgery can last 7-10 days, if one uses your own tissues. more
Erel Laufer, M.D.

Tampa Plastic Surgeon

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